YJE-31184-09800

3 vaccinations 13 coded responses 39 check-ins 13 free-text entries 8 call cases

Sex: Male
Age at first dose: 56-60
ZIP prefix: 913 / CA
Registered: 2021-03-22

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
1365076 (opens in a new window)	high	9 / 11	—	2 of 10 VAERS symptoms	same dose (2)	CA matches	2021-04-19 / 2021-04-19 / 2021-06-01 received 15 days after the last call	case 697704

From the VAERS matching of call center cases (loader/vaers_match_*). Only the best match is shown, and only if it scores 8 or more out of 11. The score adds up timing (VAERS received soon after the call center contact), dose and shared symptoms; state only breaks ties. Confidence is high when the score is 8+ and at least 3 points ahead of the runner-up, medium when 5+ and 2 ahead, otherwise low. A match is a likely link, not a confirmed one.

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-22
Registered in v-safe
2021-03-22
Dose 1 — Moderna
2021-03-22
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-29
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-19
Dose 2 — Moderna
2021-04-19
Health check-in — day 0, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-04-20
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort — Feeling: Good · Muscle or body aches

Free text: Slight chest tightening.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Hospitalisation — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Systemic reaction (other): I am currently in (b)(6) Hospital. · Healthcare visit (other): Currently@ (b)(6) Hospital, have to stay overnight.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-26
Survey response — day 7, dose 2
MedDRA: Chest pain, Emergency care — Feeling: Poor · Headache · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Systemic reaction (other): Chest pain. Had to go to (b)(6). · Healthcare visit (other): Chest pain. I'm now @ (b)(6) Hospital.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Report sent to call center — day 7, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-03
Survey response — day 14, dose 2
MedDRA: Angiogram, Malaise, Myocardial infarction, Stent placement — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: I had a Heart attack! Had an Angiogram w/stent placement. Not feeling very well!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Report sent to call center — day 14, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-10
Survey response — day 21, dose 2
MedDRA: Coronary arterial stent insertion, Hospitalisation, Myocardial infarction — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: I experienced a Heart attack after receiving my second dose of the Moderna vaccine. I was hospitalized and had an Angiogram and a subsequent Stent placed in one of my arteries. I was hospitalized @ (b)(6)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-17
Survey response — day 28, dose 2
MedDRA: Chest pain — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Chest pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Report sent to call center — day 28, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-24
Survey response — day 35, dose 2
MedDRA: Myocardial infarction, Unevaluable event — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: If you really care to know about how I suffered a Heart attack after my second Covid vaccine please contact me!!! · Healthcare visit (other): Contact me!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Report sent to call center — day 35, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-31
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-31
Call 1 — Left Voicemail
2021-06-01
Call successful
Completed over the phone
2021-07-19
Survey response — 3 months, dose 2
MedDRA: Chest pain — Feeling: Fair · Be unable to work or attend school

Free text: I am still dealing with chest pain since my second injection.

MedDRA releases: 2024-11 · check-in free text available
2021-10-19
Survey response — 6 months, dose 2
MedDRA: Chest discomfort, Office visit — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: I'm still experiencing significant chest discomfort. · Healthcare visit (other): Dr. Visits

MedDRA releases: 2024-11 · check-in free text available
2021-10-19
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2021-10-21
Call 1 — Left Voicemail
2021-10-21
Call successful
Completed over the phone
2021-11-26
Dose 3 — Pfizer-BioNTech
2021-11-26
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-27
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site pain — Feeling: Good · Site: Pain

Free text: Slight arm pain @ injection site.

MedDRA releases: 2024-11 · check-in free text available
2021-11-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-01
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Sore throat.

MedDRA releases: 2024-11 · check-in free text available
2021-12-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-03
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-10
Survey response — day 14, dose 3
MedDRA: Neck pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Check and neck pain.

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-24
Survey response — day 28, dose 3
MedDRA: Chest discomfort, Cough — Feeling: Good

Free text: Slight cough and chest tightness.

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-07
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-25
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-27
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-22	Moderna
2	2021-04-19	Moderna
3	2021-11-26	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-20	Successful	Completed over the phone
2021-04-25	Successful	Completed over the phone
2021-04-26	Successful	Completed over the phone
2021-05-03	Successful	Completed over the phone
2021-05-10	Successful	Completed over the phone
2021-05-17	Successful	Completed over the phone
2021-05-24	Successful 2021-06-01	Completed over the phone
2021-10-19	Successful 2021-10-21	Completed over the phone

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-24

Systemic reaction (other): Slight chest tightening.

2021-04-25

Systemic reaction (other): I am currently in (b)(6) Hospital.

Healthcare visit (other): Currently@ (b)(6) Hospital, have to stay overnight.

redacted (b)(6)

Release 8 — day 7, dose 2

2021-04-26

Systemic reaction (other): Chest pain. Had to go to (b)(6).

Healthcare visit (other): Chest pain. I'm now @ (b)(6) Hospital.

redacted (b)(6)

Release 8 — day 14, dose 2

2021-05-03

Symptoms: I had a Heart attack! Had an Angiogram w/stent placement. Not feeling very well!

Release 8 — day 21, dose 2

2021-05-10

Symptoms: I experienced a Heart attack after receiving my second dose of the Moderna vaccine. I was hospitalized and had an Angiogram and a subsequent Stent placed in one of my arteries. I was hospitalized @ (b)(6)

redacted (b)(6)

Release 8 — day 28, dose 2

2021-05-17

Symptoms: Chest pain.

Release 8 — day 35, dose 2

2021-05-24

Symptoms: If you really care to know about how I suffered a Heart attack after my second Covid vaccine please contact me!!!

Healthcare visit (other): Contact me!

Release 9 — 3 months, dose 2

2021-07-19

Symptoms: I am still dealing with chest pain since my second injection.

Release 10 — 6 months, dose 2

2021-10-19

Symptoms: I'm still experiencing significant chest discomfort.

Healthcare visit (other): Dr. Visits

Release 10 — days 1–6 daily, dose 3

2021-11-27

Systemic reaction (other): Slight arm pain @ injection site.

2021-12-01

Systemic reaction (other): Sore throat.

Release 10 — day 14, dose 3

2021-12-10

Symptoms: Check and neck pain.

Release 10 — day 28, dose 3

2021-12-24

Symptoms: Slight cough and chest tightness.

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
HCVO	Chest pain	✓	✓	✓
HCVO	Emergency care	✓	✓	✓
HCVO	Hospitalisation	✓	✓	✓
HCVO	Office visit	·	·	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Angiogram	○	✓	○
SD	Chest discomfort	·	·	✓
SD	Chest pain	✓	✓	✓
SD	Coronary arterial stent insertion	✓	✓	✓
SD	Cough	·	·	✓
SD	Hospitalisation	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Myocardial infarction	✓	✓	✓
SD	Neck pain	·	·	✓
SD	Stent placement	✓	✓	✓
SD	Unevaluable event	○	✓	○
SRO	Chest discomfort	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Emergency care	✓	✓	✓
SRO	Hospitalisation	✓	✓	✓
SRO	Injection site pain	·	·	✓
SRO	Oropharyngeal pain	·	·	✓

✓ active code · ○ coded but marked inactive · blank = not in that release